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Results of End-To-Side Hypoglossal-Facial Nerve Anastomosis in Facial Paralysis After Skull Base Surgery Publisher



Dabiri S1 ; Ashtiani MK1 ; Moharreri M1 ; Khomami ZM1 ; Kouhi A1 ; Yazdani N1 ; Borghei P1 ; Aghazadeh K1
Authors
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Authors Affiliations
  1. 1. Otorhinolaryngology-Head and Neck Surgery Research Center, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Otorhinolaryngology Published:2020


Abstract

Introduction: The primary aim of facial reanimation surgery is to restore tone, symmetry, and movement to the paralyzed face. Hypoglossal-facial end-to-side anastomosis provides satisfactory facial reanimation in the irreversible proximal injury of the facial nerve. This study discussed the facial function results of end-to-side anastomosing of hypoglossal nerve to facial nerve when the injury occurred during skull base surgery. Materials and Methods: The present study enrolled a total of 10 patients who underwent end-to-side hypoglossal-facial nerve anastomosis after facial nerve paralysis due to skull base surgery. The data of the patients were gathered from hospital records, pictures, and movies during the 18 months of follow-up. Results: At the 18 months of follow-up, seven (70%) and three (30%) patients were reported with grades III and IV of the House-Brackmann scoring system, respectively. In total, out of the seven grade III patients, six subjects underwent early anastomosis (within the first year of the paralysis). On the other hand, among patients with grade IV, two subjects had late anastomosis. Conclusion: It seems that early end-to-side hypoglossal-facial anastomosis can be a favorable surgical option with good facial function results for reanimating the facial function of patients with facial paralysis following skull base surgery. © 2020 Mashhad University of Medical Sciences. All rights reserved.